| [613] | 1 | LA7VORU ;DALOI/JMC - Builder of HL7 Lab Results OBR/OBX/NTE ;Jan 31, 2005 | 
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|  | 2 | ;;5.2;AUTOMATED LAB INSTRUMENTS;**27,46,61,64,71**;Sep 27, 1994 | 
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|  | 3 | ; | 
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|  | 4 | EN(LA) ; called from IN^LA7VMSG(...) | 
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|  | 5 | ; variables | 
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|  | 6 | ; LA("HUID") - Host Unique ID from the local ACCESSION file (#68) | 
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|  | 7 | ; LA("SITE") - Ordering site IEN in the INSTITUTION file (#4) | 
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|  | 8 | ; LA("RUID") - Remote sites Unique ID from ACCESSION file (#68) | 
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|  | 9 | ; LA("ORD") - Free text ordered test name from WKLD CODE file (#64) | 
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|  | 10 | ; LA("NLT") - National Laboratory test code from WKLD CODE file (#64) | 
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|  | 11 | ; LA("LRIDT") - Inverse date/time the lab arrival time (accession date/time) | 
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|  | 12 | ; LA("SUB") - test subscript defined in LABORATORY TEST file (#60) | 
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|  | 13 | ; LA("LRDFN") - IEN in LAB DATA file (#63) | 
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|  | 14 | ; LA("ORD"), LA("NLT"), and LA("SUB") are sent for specific lab results. | 
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|  | 15 | ; LA("AUTO-INST") - Auto-Instrument | 
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|  | 16 | ; | 
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|  | 17 | N LA763,LA7NLT,LA7NVAF,LA7X,PRIMARY | 
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|  | 18 | ; | 
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|  | 19 | S PRIMARY=$$PRIM^VASITE(DT),LA("AUTO-INST")="" | 
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|  | 20 | I $G(PRIMARY)'="" D | 
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|  | 21 | . S PRIMARY=$$SITE^VASITE(DT,PRIMARY) | 
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|  | 22 | . S PRIMARY=$P(PRIMARY,U,3) | 
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|  | 23 | . S LA("AUTO-INST")="LA7V HOST "_PRIMARY | 
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|  | 24 | ; | 
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|  | 25 | I '$O(^LR(LA("LRDFN"),LA("SUB"),LA("LRIDT"),0)) D  Q | 
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|  | 26 | . ; need to add error logging when no entry in 63. | 
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|  | 27 | ; | 
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|  | 28 | ; Get zeroth node of entry in #63. | 
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|  | 29 | S LA763(0)=$G(^LR(LA("LRDFN"),LA("SUB"),LA("LRIDT"),0)) | 
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|  | 30 | S LA7NLT=$G(LA("NLT")) | 
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|  | 31 | ; | 
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|  | 32 | S LA7NVAF=$$NVAF^LA7VHLU2(+LA("SITE")) | 
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|  | 33 | S LA7NTESN=0 | 
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|  | 34 | D ORC | 
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|  | 35 | ; | 
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|  | 36 | I $G(LA("SUB"))="CH" D CH | 
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|  | 37 | I $G(LA("SUB"))="MI" D MI^LA7VORU1 | 
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|  | 38 | I "SPCYEM"[$G(LA("SUB")) D AP^LA7VORU2 | 
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|  | 39 | Q | 
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|  | 40 | ; | 
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|  | 41 | ; | 
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|  | 42 | CH ; Build segments for "CH" subscript | 
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|  | 43 | ; | 
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|  | 44 | D OBR | 
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|  | 45 | D NTE | 
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|  | 46 | S LA7OBXSN=0 | 
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|  | 47 | D OBX | 
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|  | 48 | ; | 
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|  | 49 | Q | 
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|  | 50 | ; | 
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|  | 51 | ; | 
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|  | 52 | ORC ; Build ORC segment | 
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|  | 53 | ; | 
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|  | 54 | N LA763,LA7696,LA7DATA,LA7SM,LA7X,LA7Y,ORC | 
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|  | 55 | ; | 
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|  | 56 | S LA763(0)=$G(^LR(LA("LRDFN"),LA("SUB"),LA("LRIDT"),0)) | 
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|  | 57 | ; | 
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|  | 58 | S ORC(0)="ORC" | 
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|  | 59 | ; | 
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|  | 60 | ; Order control | 
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|  | 61 | S ORC(1)=$$ORC1^LA7VORC("RE") | 
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|  | 62 | ; | 
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|  | 63 | ; Remote UID | 
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|  | 64 | S ORC(2)=$$ORC2^LA7VORC(LA("RUID"),LA7FS,LA7ECH) | 
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|  | 65 | ; | 
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|  | 66 | ; Host UID | 
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|  | 67 | S ORC(3)=$$ORC3^LA7VORC(LA("HUID"),LA7FS,LA7ECH) | 
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|  | 68 | ; | 
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|  | 69 | ; Return shipping manifest if found | 
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|  | 70 | S LA7SM="",LA7696=0 | 
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|  | 71 | I LA("SITE")'="",LA("RUID")'="" S LA7696=$O(^LRO(69.6,"RST",LA("SITE"),LA("RUID"),0)) | 
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|  | 72 | I LA7696 S LA7SM=$P($G(^LRO(69.6,LA7696,0)),U,14) | 
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|  | 73 | I LA7SM'="" S ORC(4)=$$ORC4^LA7VORC(LA7SM,LA7FS,LA7ECH) | 
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|  | 74 | ; | 
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|  | 75 | ; Order status | 
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|  | 76 | ; DoD/CHCS requires ORC-5 valued otherwise will not process message | 
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|  | 77 | I LA7NVAF=1 S ORC(5)=$$ORC5^LA7VORC("CM",LA7FS,LA7ECH) | 
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|  | 78 | ; | 
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|  | 79 | ; Ordering provider | 
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|  | 80 | S (LA7X,LA7Y)="" | 
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|  | 81 | ; "CH" subscript stores requesting provider and requesting div/location. | 
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|  | 82 | I LA("SUB")="CH" D | 
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|  | 83 | . N LA7J | 
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|  | 84 | . S LA7J=$P(LA763(0),"^",13) | 
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|  | 85 | . I $P(LA7J,";",2)="SC(" S LA7Y=$$GET1^DIQ(44,$P(LA7J,";")_",",3,"I") | 
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|  | 86 | . I $P(LA7J,";",2)="DIC(4," S LA7Y=$P(LA7J,";") | 
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|  | 87 | . S LA7X=$P(LA763(0),"^",10) | 
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|  | 88 | ; | 
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|  | 89 | ; Other subscripts only store requesting provider | 
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|  | 90 | I "CYEMMISP"[LA("SUB") S LA7X=$P(LA763(0),"^",7) | 
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|  | 91 | ; Get default institution from MailMan Site Parameters file | 
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|  | 92 | I LA7Y="" S LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") | 
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|  | 93 | S ORC(12)=$$ORC12^LA7VORC(LA7X,LA7Y,LA7FS,LA7ECH) | 
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|  | 94 | ; | 
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|  | 95 | ; Entering organization | 
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|  | 96 | S ORC(17)=$$ORC17^LA7VORC(LA7Y,LA7FS,LA7ECH) | 
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|  | 97 | ; | 
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|  | 98 | D BUILDSEG^LA7VHLU(.ORC,.LA7DATA,LA7FS) | 
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|  | 99 | D FILESEG^LA7VHLU(GBL,.LA7DATA) | 
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|  | 100 | ; | 
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|  | 101 | ; Check for flag to only build message but do not file | 
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|  | 102 | I '$G(LA7NOMSG) D FILE6249^LA7VHLU(LA76249P,.LA7DATA) | 
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|  | 103 | ; | 
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|  | 104 | Q | 
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|  | 105 | ; | 
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|  | 106 | ; | 
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|  | 107 | OBR ;Observation Request segment for Lab Order | 
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|  | 108 | ; | 
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|  | 109 | N LA761,LA762,LA7DATA,LA7PLOBR,LA7X,LA7Y,OBR | 
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|  | 110 | ; | 
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|  | 111 | ; Retrieve placer's OBR information stored in #69.6 | 
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|  | 112 | D RETOBR^LA7VHLU(LA("SITE"),LA("RUID"),LA("NLT"),.LA7PLOBR) | 
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|  | 113 | ; | 
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|  | 114 | ; Initialize OBR segment | 
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|  | 115 | S OBR(0)="OBR" | 
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|  | 116 | S OBR(1)=$$OBR1^LA7VOBR(.LA7OBRSN) | 
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|  | 117 | ; | 
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|  | 118 | ; Remote UID | 
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|  | 119 | S OBR(2)=$$OBR2^LA7VOBR(LA("RUID"),LA7FS,LA7ECH) | 
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|  | 120 | ; | 
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|  | 121 | ; Host UID | 
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|  | 122 | S OBR(3)=$$OBR3^LA7VOBR(LA("HUID"),LA7FS,LA7ECH) | 
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|  | 123 | ; | 
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|  | 124 | ; Universal service ID, build from info stored in #69.6 | 
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|  | 125 | S LA7X="" | 
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|  | 126 | I $G(LA7PLOBR("OBR-4"))'="" S OBR(4)=$$CNVFLD^LA7VHLU3(LA7PLOBR("OBR-4"),LA7PLOBR("ECH"),LA7ECH) | 
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|  | 127 | E  S OBR(4)=$$OBR4^LA7VOBR(LA7NLT,"",LA7X,LA7FS,LA7ECH) | 
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|  | 128 | ; | 
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|  | 129 | ; Collection D/T | 
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|  | 130 | S OBR(7)=$$OBR7^LA7VOBR($P(LA763(0),U)) | 
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|  | 131 | ; | 
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|  | 132 | ; Specimen action code | 
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|  | 133 | ; If no OBR from PENDING ORDER file (#69.6) then assume added test. | 
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|  | 134 | I $G(LA7INTYP)=10,$G(LA7PLOBR("OBR-4"))="" S OBR(11)=$$OBR11^LA7VOBR("A") | 
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|  | 135 | ; | 
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|  | 136 | ; Infection Warning | 
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|  | 137 | S OBR(12)=$$OBR12^LA7VOBR(LRDFN,LA7FS,LA7ECH) | 
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|  | 138 | ; | 
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|  | 139 | ; Lab Arrival Time | 
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|  | 140 | ; "CH" subscript does not store lab arrival time, use collection time. | 
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|  | 141 | ; Other subscripts do store lab arrival time (date/time received). | 
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|  | 142 | I "CYEMMISP"[LA("SUB") S OBR(14)=$$OBR14^LA7VOBR($P(LA763(0),"^",10)) | 
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|  | 143 | I LA("SUB")="CH" S OBR(14)=$$OBR14^LA7VOBR($P(LA763(0),"^")) | 
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|  | 144 | ; | 
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|  | 145 | ; Specimen source | 
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|  | 146 | S (LA761,LA762)="" | 
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|  | 147 | I "CHMI"[LA("SUB") D | 
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|  | 148 | . S LA761=$P(LA763(0),U,5) | 
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|  | 149 | . I LA761="" D CREATE^LA7LOG(27) | 
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|  | 150 | . I LA("SUB")="MI" S LA762=$P(LA763(0),U,11) | 
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|  | 151 | S OBR(15)=$$OBR15^LA7VOBR(LA761,LA762,"",LA7FS,LA7ECH) | 
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|  | 152 | ; | 
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|  | 153 | ; Ordering provider | 
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|  | 154 | S (LA7X,LA7Y)="" | 
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|  | 155 | ; "CH" subscript stores requesting provider and requesting div/location. | 
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|  | 156 | I LA("SUB")="CH" D | 
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|  | 157 | . N LA7J | 
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|  | 158 | . S LA7J=$P(LA763(0),"^",13) | 
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|  | 159 | . I $P(LA7J,";",2)="SC(" S LA7Y=$$GET1^DIQ(44,$P(LA7J,";")_",",3,"I") | 
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|  | 160 | . I $P(LA7J,";",2)="DIC(4," S LA7Y=$P(LA7J,";") | 
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|  | 161 | . S LA7X=$P(LA763(0),"^",10) | 
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|  | 162 | ; | 
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|  | 163 | ; Other subscripts only store requesting provider | 
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|  | 164 | I "CYEMMISP"[LA("SUB") S LA7X=$P(LA763(0),"^",7) | 
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|  | 165 | ; Get default institution from MailMan Site Parameters file | 
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|  | 166 | I LA7Y="" S LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") | 
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|  | 167 | S OBR(16)=$$ORC12^LA7VORC(LA7X,LA7Y,LA7FS,LA7ECH) | 
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|  | 168 | ; | 
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|  | 169 | ; Placer Field #1 (remote auto-inst) | 
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|  | 170 | ; Build from info stored in #69.6 | 
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|  | 171 | I $G(LA7PLOBR("OBR-18"))'="" D | 
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|  | 172 | . S OBR(18)=$$CHKDATA^LA7VHLU3(LA7PLOBR("OBR-18"),LA7FS_LA7ECH) | 
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|  | 173 | ; Else build "auto instrument" if sending to VA facility | 
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|  | 174 | I $G(LA7PLOBR("OBR-18"))="",'LA7NVAF D | 
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|  | 175 | . N LA7X | 
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|  | 176 | . S LA7X(1)=LA("AUTO-INST") | 
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|  | 177 | . S OBR(18)=$$OBR18^LA7VOBR(.LA7X,LA7FS,LA7ECH) | 
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|  | 178 | ; | 
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|  | 179 | ; Placer Field #2 | 
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|  | 180 | I $G(LA7PLOBR("OBR-19"))'="" D | 
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|  | 181 | . S OBR(19)=$$CHKDATA^LA7VHLU3(LA7PLOBR("OBR-19"),LA7FS_LA7ECH) | 
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|  | 182 | ; Else build collecting UID if sending to VA facility | 
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|  | 183 | I $G(LA7PLOBR("OBR-19"))="",'LA7NVAF,LA("RUID")'="" D | 
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|  | 184 | . K LA7X | 
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|  | 185 | . S LA7X(7)=LA("RUID") | 
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|  | 186 | . S OBR(19)=$$OBR19^LA7VOBR(.LA7X,LA7FS,LA7ECH) | 
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|  | 187 | ; | 
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|  | 188 | ; Filler Field #1 | 
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|  | 189 | ; Send file #63 ien info - used by HDR to track patient/specimen | 
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|  | 190 | K LA7X | 
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|  | 191 | S LA7X(1)=LA("LRDFN") | 
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|  | 192 | S LA7X(2)=LA("SUB") | 
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|  | 193 | S LA7X(3)=LA("LRIDT") | 
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|  | 194 | S OBR(20)=$$OBR20^LA7VOBR(.LA7X,LA7FS,LA7ECH) | 
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|  | 195 | ; | 
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|  | 196 | ; Date Report Completed | 
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|  | 197 | I $P(LA763(0),"^",3) S OBR(22)=$$OBR22^LA7VOBR($P(LA763(0),"^",3)) | 
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|  | 198 | ; | 
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|  | 199 | ; Diagnostic service id | 
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|  | 200 | S OBR(24)=$$OBR24^LA7VOBR(LA("SUB")_"^"_$G(LRSB)) | 
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|  | 201 | ; | 
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|  | 202 | ; Parent Result and Parent | 
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|  | 203 | I $D(LA7PARNT) D | 
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|  | 204 | . S OBR(26)=$$OBR26^LA7VOBR(LA7PARNT(1),LA7PARNT(2),LA7PARNT(3),LA7FS,LA7ECH) | 
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|  | 205 | . S OBR(29)=$$OBR29^LA7VOBR(LA("RUID"),LA("HUID"),LA7FS,LA7ECH) | 
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|  | 206 | ; | 
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|  | 207 | ; Principle result interpreter | 
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|  | 208 | ; Get default institution from MailMan Site Parameters file | 
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|  | 209 | I "CYEMMISP"[LA("SUB") D | 
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|  | 210 | . I LA("SUB")="MI" S LA7X=$P(LA763(0),"^",4) | 
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|  | 211 | . E  S LA7X=$P(LA763(0),"^",2) | 
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|  | 212 | . S LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") | 
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|  | 213 | . S OBR(32)=$$OBR32^LA7VOBR(LA7X,LA7Y,LA7FS,LA7ECH) | 
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|  | 214 | ; | 
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|  | 215 | ; Assistant result interpreter | 
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|  | 216 | ; Get default institution from MailMan Site Parameters file | 
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|  | 217 | I "EMSP"[LA("SUB") D | 
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|  | 218 | . S LA7X=$P(LA763(0),"^",4),LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") | 
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|  | 219 | . S OBR(33)=$$OBR33^LA7VOBR(LA7X,LA7Y,LA7FS,LA7ECH) | 
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|  | 220 | ; | 
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|  | 221 | ; Technician | 
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|  | 222 | ; Get default institution from MailMan Site Parameters file | 
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|  | 223 | I "CYEM"[LA("SUB") D | 
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|  | 224 | . S LA7X=$P(LA763(0),"^",4),LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") | 
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|  | 225 | . S OBR(34)=$$OBR34^LA7VOBR(LA7X,LA7Y,LA7FS,LA7ECH) | 
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|  | 226 | ; | 
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|  | 227 | ; Typist - VistA stores as free text | 
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|  | 228 | ; Get default institution from MailMan Site Parameters file | 
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|  | 229 | I "CYEMSP"[LA("SUB") D | 
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|  | 230 | . S LA7X=$P(LA763(0),"^",9),LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") | 
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|  | 231 | . S OBR(35)=$$OBR35^LA7VOBR(LA7X,LA7Y,LA7FS,LA7ECH) | 
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|  | 232 | ; | 
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|  | 233 | D BUILDSEG^LA7VHLU(.OBR,.LA7DATA,LA7FS) | 
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|  | 234 | D FILESEG^LA7VHLU(GBL,.LA7DATA) | 
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|  | 235 | ; | 
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|  | 236 | ; Check for flag to only build message but do not file | 
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|  | 237 | I '$G(LA7NOMSG) D FILE6249^LA7VHLU(LA76249,.LA7DATA) | 
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|  | 238 | ; | 
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|  | 239 | Q | 
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|  | 240 | ; | 
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|  | 241 | ; | 
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|  | 242 | OBX ;Observation/Result segment for Lab Results | 
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|  | 243 | ; | 
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|  | 244 | N LA7953,LA7DATA,LA7VT,LA7VTIEN,LA7X | 
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|  | 245 | ; | 
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|  | 246 | S LA7VTIEN=0 | 
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|  | 247 | F  S LA7VTIEN=$O(^LAHM(62.49,LA(62.49),1,LA7VTIEN)) Q:'LA7VTIEN  D | 
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|  | 248 | . S LA7VT=$P(^LAHM(62.49,LA(62.49),1,LA7VTIEN,0),"^",1,2) | 
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|  | 249 | . ; Build OBX segment | 
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|  | 250 | . K LA7DATA | 
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|  | 251 | . D OBX^LA7VOBX(LA("LRDFN"),LA("SUB"),LA("LRIDT"),$P(LA7VT,"^",1,2),.LA7DATA,.LA7OBXSN,LA7FS,LA7ECH,$G(LA7NVAF)) | 
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|  | 252 | . ; If OBX failed to build then don't store | 
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|  | 253 | . I '$D(LA7DATA) Q | 
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|  | 254 | . ; | 
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|  | 255 | . D FILESEG^LA7VHLU(GBL,.LA7DATA) | 
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|  | 256 | . I '$G(LA7NOMSG) D FILE6249^LA7VHLU(LA76249,.LA7DATA) | 
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|  | 257 | . ; | 
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|  | 258 | . ; Send performing lab comment and interpretation from file #60 | 
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|  | 259 | . S LA7NTESN=0 | 
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|  | 260 | . I LA7NVAF=1 D PLC^LA7VORUA | 
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|  | 261 | . D INTRP^LA7VORUA | 
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|  | 262 | . ; | 
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|  | 263 | . ; Mark result as sent - set to 1, if corrected results set to 2 | 
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|  | 264 | . I LA("SUB")="CH" D | 
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|  | 265 | . . I $P(^LR(LA("LRDFN"),LA("SUB"),LA("LRIDT"),$P(LA7VT,"^")),"^",10)>1 Q | 
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|  | 266 | . . S $P(^LR(LA("LRDFN"),LA("SUB"),LA("LRIDT"),$P(LA7VT,"^")),"^",10)=$S($P(LA7VT,"^",2)="C":2,1:1) | 
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|  | 267 | ; | 
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|  | 268 | Q | 
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|  | 269 | ; | 
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|  | 270 | ; | 
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|  | 271 | NTE ; Build NTE segment | 
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|  | 272 | ; | 
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|  | 273 | D NTE^LA7VORUA | 
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|  | 274 | Q | 
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